Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.82 / $858.65 / $4,042.40	Facility		$96.82	$858.65	$4,042.40
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $416.39 / $743.88 / $2,980.00	Facility	50	$416.39	$743.88	$2,980.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $27.27 / $37.14 / $53.17	Facility	52	$27.27	$37.14	$53.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.02 / $64.86 / $104.94	Professional		$42.02	$64.86	$104.94
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $74.34 / $90.23 / $172.04	Professional	50	$74.34	$90.23	$172.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.68 / $55.39 / $81.62	Professional		$38.68	$55.39	$81.62
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $70.23 / $83.08 / $131.74	Professional	50	$70.23	$83.08	$131.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $297.48 / $413.00 / $685.67	Facility		$297.48	$413.00	$685.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.24 / $66.16 / $93.64	Professional		$56.24	$66.16	$93.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $330.00 / $330.00	Facility		$330.00	$330.00	$330.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.55 / $76.65 / $126.13	Professional		$51.55	$76.65	$126.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $47.29 / $88.18 / $752.00	Facility		$47.29	$88.18	$752.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $65.52 / $90.17 / $482.48	Professional		$65.52	$90.17	$482.48
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $111.52 / $112.44 / $119.13	Professional	50	$111.52	$112.44	$119.13
United Facility/Professional Facility Modifier Low / Median / High Price $191.00 / $550.00 / $1,769.00	Facility		$191.00	$550.00	$1,769.00
United Facility/Professional Professional Modifier Low / Median / High Price $61.96 / $79.86 / $117.56	Professional		$61.96	$79.86	$117.56
United Facility/Professional Professional Modifier 50 Low / Median / High Price $80.00 / $80.00 / $80.00	Professional	50	$80.00	$80.00	$80.00